Periodontics Dental Implants of Greater Boston
NPI #1437316825 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1437316825
- Entity Type
- Organization
- Organization Name
- Periodontics Dental Implants of Greater Boston
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 22, 2008
- Last Updated
- May 22, 2008
Practice Location
- Address
- 30 COLLEGE AVE
- Address 2
- SUITE 201
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02144-1914
- Phone
- (617) 776-7676
Authorized Official
- Name
- DR. SOFIA OSTRER-POTAPOV, DDS
- Title
- OWNER/DOCTOR
- Phone
- (617) 776-7676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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